Experimental Cardiology Area

Cardiovascular Regenerative Medicine (CARE-MED)

Prof. Gino Gerosa

Principal Investigator

Dr. Anna Maria Tolomeo

Junior Principal Investigator

Research Activity

The Laboratory of Cardiovascular Regenerative Medicine (CARE-MED) directed by Prof. Gino Gerosa (PI) and Dr. Anna Maria Tolomeo (Junior PI) studies the cellular and molecular mechanisms underlying cardiac pathologies involving the different functional structures of cardiac tissue, from genome to cellular microenvironment. Their alteration can lead to heart failure and thus a reduction in the heart’s ability to perform its normal contractile function, resulting in irreversible damage and the need for transplantation.
In this scenario the CARE-MED researchers’ activities are divided into two main research strands: i) developing patient-specific bioengineered cardiac structures, capable of replacing the organ by reducing the patient’s use of immunosuppressants; ii) determining the cardiac and immune cellular components involved in the onset of various cardiac diseases and studying the plasma of these patients, to identify the molecules responsible for cardiac damage. These will represent a novelty among all emerging technologies, as they will combine strategies based on regenerative medicine techniques to achieve highly specialized personalized medicine.

Projects

Development of an ex-vivo three-dimensional (3D) cardiac tissue platform for clinical use as a pace-maker or laboratory use for drug testing (BIOPACE).
Generation of a total bioengineered heart and its different components.
Determination of the biological age of the transplanted hearts compared to their chronological age and the subsequent evolution once transplanted in a recipient of different age.
Generation in-vivo (porcine) models of “Donation after Circulatory Death”(DCD), for the recovery of hearts suitable for transplantation.
Evaluation of cutting-edge drugs useful for preserving the heart’s functionality during transport to the recipient site after organ harvesting.
Evaluation of cutting-edge technologies from genetically-modified pigs.

Team Members

Prof. Gino Gerosa – Principal Investigator
Dr. Anna Maria Tolomeo – Junior Principal Investigator
Dr. Saima Imran – Post Doc
Dr. Federica Serra – Post Doc
Dr. Nicola Pradegan – PhD Student
Dr. Alice Tomas – Research Fellow
Dr. Agnese Lauroja – Research Fellow

Selected Publications

• Palmosi T*, Tolomeo AM*, Cirillo C, Sandrin D, Sciro M, Negrisolo S, Todesco M, Caicci F, Santoro M, Dal Lago E, Marchesan M, Modesti M, Bagno A, Romanato F, Grumati P, Fabozzo A, Gerosa G. Small intestinal submucosa-derived extracellular matrix as a heterotopic scaffold for cardiovascular applications. Front Bioeng Biotechnol. 2022 Dec 12;10:1042434. doi: 10.3389/fbioe.2022.1042434. PMID: 36578513; PMCID: PMC9792098.
• Tolomeo AM, Fabozzo A, Malvicini R, De Lazzari G, Bisaccia P, Gaburro G, Arcidiacono D, Notarangelo D, Caicci F, Zanella F, Marchesan M, Yannarelli G, Santovito G, Muraca M, Gerosa G. Temperature-Related Effects of Myocardial Protection Strategies in Swine Hearts after Prolonged Warm Ischemia. Antioxidants (Basel). 2022 Feb 28;11(3):476. doi: 10.3390/antiox11030476. PMID: 35326125; PMCID: PMC8944743.
• Faggioli M, Moro A, Butt S, Todesco M, Sandrin D, Borile G, Bagno A, Fabozzo A, Romanato F, Marchesan M, Imran S, Gerosa G. A New Decellularization Protocol of Porcine Aortic Valves Using Tergitol to Characterize the Scaffold with the Biocompatibility Profile Using Human Bone Marrow Mesenchymal Stem Cells. Polymers (Basel). 2022 Mar 17;14(6):1226. doi: 10.3390/polym14061226. PMID: 35335556; PMCID: PMC8949722.
• Pavanello S, Campisi M, Fabozzo A, Cibin G, Tarzia V, Toscano G, Gerosa G. The biological age of the heart is consistently younger than chronological age. Sci Rep. 2020 Jul 1;10(1):10752. doi: 10.1038/s41598-020-67622-1. PMID: 32612244; PMCID: PMC7329913.
• Dal Sasso E, Menabò R, Agrillo D, Arrigoni G, Franchin C, Giraudo C, Filippi A, Borile G, Ascione G, Zanella F, Fabozzo A, Motta R, Romanato F, Di Lisa F, Iop L, Gerosa G. RegenHeart: A Time-Effective, Low-Concentration, Detergent-Based Method Aiming for Conservative Decellularization of the Whole Heart Organ. ACS Biomater Sci Eng. 2020 Oct 12;6(10):5493-5506. doi: 10.1021/acsbiomaterials.0c00540. Epub 2020 Sep 10. PMID: 33320567; PMCID: PMC8011801.